Room Request Form Please fill out this form with your request for use of room(s). It is important that you fill out information exactly. A parish staff member will contact you within 3 business days. Step 1 of 3 - Contact Information 0% Contact Person Name* First Last Contact Person Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Person Phone*Contact Person Email* Enter Email Confirm Email Event Name (optional)Group Name*Event Start Date* Date Format: MM slash DD slash YYYY Event End Date* Date Format: MM slash DD slash YYYY Event Start Time* : Hour Minutes AM PM Event End Time* : HH MM AM PM Set Up Time Needed (minutes)*Clean Up Time Needed*Is this a re-occurring event?* Yes No If yes, how frequently?* Daily Weekly Monthly Other What room(s) would you like to reserve?* Shamrock Hall Conference Room Room 6 Room 10 If the first preference isn't available, what would your second preference be?* Shamrock Hall Conference Room Room 6 Room 10
